The document summarizes the Reproductive and Child Health (RCH) program in India. It was launched in 1997 to reorient family planning and child survival programs. RCH has two phases, with the second phase beginning in 2005 to further reduce maternal and child mortality. The key components of RCH include family planning, child survival and safe motherhood, prevention of reproductive tract infections/STDs/AIDS. Community health nurses play an important role by providing services, education, and administration related to maternal, newborn and child health.

1. REPRODUCTIVE AND CHILD
HEALTH PROGRAMME
Vinod Kumar Nawriya
M. Sc. Nursing 1st year
JAIPUR NURSING COLLEGE
JAIPUR
By

2. CONTENT
 Introduction of RCH
 Definition of Health
 Approaches of RCH
 Component of RCH programme phase- I
 Component of RCH programme phase- II
 Quality indicators of RCH programme
 Role of community health nurse in RCH programme

3. INTRODUCTION
The govt. of India reoriented the family
programming programme and child survival and
safe motherhood (CSSM) programme in to new
programme known as reproductive and child health
(RCH). The RCH programme was started in august
1997.

4. DEFINITION OF HEALTH
 According to WHO- health is a state of physical,
mental and social well being and not merely the
absence of disease or infirmity.
 Its all maters relating to reproductive system and its
function and process.

5. APPROACHES OF RCH
 People have the ability to reproduce and regulate
there fertility, women are able to go through
pregnancy and child birth safely, the out of come
pregnancies is successfully in terms of maternal
and infant survival and well being, and couples are
able to have sexual relations, free of fear of
pregnancy and of contracting diseases.

6. COMPONENT OF RCH PROGRAMME PHASE- I
 The programme was formally launched on 15th Oct.
1997.

7. RCH PHASE I PROGRAMME INCORPORATED
THE 4 COMPONANT
FAMILY
PLANNING
CLIENT
APPROACH TO
HEALTH CARE
PREVENTION
AND CONTROL
OF RTI/ STD’S/
AIDS
CHILD SURVIVAL
AND SAFE
MOTHERHOOD
RCH
PACKAGE

8. FAMILY PLANNING
 Family planning basically the planning of family
size.
 Family planning is limited or covers the
reproductive age group or period of married
couples.
 it helps individual or couple to bring about wanted
births regulate the interval between two
pregnancies.
 It is part of family welfare.
 The community health nurse teach the couples can
plan there family by use of contraceptive methods
like as condom, IUD’s, oral pill, and permanent
sterilization.

9. OBJECTIVE OF FAMILY PLANNING
 Avoid unwanted births
 Bring about wanted births
 Regulate the intervals between two pregnancies
 Determine the no. of children

10. CHILD SURVIVAL AND SAFE MOTHERHOOD
1. Child health interventions are-
 Provide the essential new born care.
 Advice the breast feeding and weaning of child.
 Immunized the child according to immunized
schedule.
 Provide the vitamin A supplementations of child.
 Provide the ORT to prevent the diarrhea.
 Control the acute respiratory tract infection.

11. 2. Interventions for maternal health-
 Registration of all pregnant mothers.
 To educate pregnant mothers about the antenatal
checkup and to give the advice at least three
antenatal visit.
 Tetanus toxoid immunization .
 Prevention and management of anemia.
 Promotion hospital deliveries.

12. RCH PHASE II
 RCH Phase II began form 1 April 2005. the focus is
to reduce maternal and child mortality and morbidity
with emphasis on rural health care.
 The major strategies are
1.Essential obstetric care
a. Institutional delivery.
b. Skilled attendance at delivery.
c. Policy decisions.
2. Emergency obstetric care
a. Oprationalizing first referral units.
b. Oprationalizing PHC’s and CHC’s for round clock
delivery services.

13. 3. Strengthening referral system-
a. Funds were given to panchayat for providing
assistance to poor people in case of obstetric
emergencies
b. Involvement of local self help groups, NGO’s and
women groups.

14. QUALITY INDICATORS OF RCH PROGRAMME
 % Pregnancy registered before 12 weeks.
 % ANC with 3 visits.
 % ANC receiving all RCH services.
 % High risk cases referred.
 % High risk cases followed up.
 % Delivery by ANM / TBA.
 % PNC with 3 PNC visits.
 % PNC receiving all counseling.
 % Eligible couples offered family planning choice.
 % Women screened for RTI/STD’s.
 % ARI treated.
 % Children fully immunized.

16. ROLE OF COMMUNITY HEALTH NURSE IN RCH
PROGRAMME
 Health care service provider for mother and child
 Administrator
 Educationist
 Researcher

17. THANK YOU